Mitchell H Dejonge in Grand Rapids - Neonatal-perinatal Medicine
Mitchell H Dejonge - NPI 1740252766
Mitchell H Dejonge is a Neonatal-perinatal Medicine in Grand Rapids, Michigan. Mitchell H Dejonge practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Mitchell H Dejonge is 1740252766. The last update date is 2011-06-13.
Mitchell H Dejonge's current location address is 100 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163911714 and fax number 6163911332. The mailing address for Mitchell H Dejonge is 100 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell H Dejonge |
|---|---|
| Address | 100 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6163911714 |
| Fax Number | 6163911332 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1740252766 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2011-06-13 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6163911714 |
| Fax Number | 6163911332 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal-perinatal Medicine |
|---|---|
| Taxonomy | 2080N0001X |
| Licence No | 4301065196 |
|
Definition: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1558407189 | MI | GROUP NPI | |
| 4173501 | MI | -- | |
| 630868 | MI | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Mitchell H Dejonge by the Centers for Medicare & Medicaid Services?
The Mitchell H Dejonge has been assigned the NPI (National Provider Identifier) 1740252766. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mitchell H Dejonge's facilities are situated?
The facilities of Mitchell H Dejonge are physically located at the following address: 100 Michigan St Ne, Grand Rapids, MI, 495032560.
What is Mitchell H Dejonge's area of expertise and its corresponding taxonomy classification?
The Mitchell H Dejonge's field of specialization is Neonatal-perinatal Medicine, and it falls under the taxonomy code 2080N0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740252766 to Mitchell H Dejonge?
The Centers for Medicare & Medicaid Services originally issued the 1740252766 to Mitchell H Dejonge on 2006-02-03.
As of what date were the details related to Mitchell H Dejonge most recently updated or revised?
The information pertaining to Mitchell H Dejonge, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-13.